Hysteroscopy is a procedure that allows the visual examination of the uterine cavity using a hysteroscope. If needed, this examination can be combined with a surgical procedure. The hysteroscope is a thin telescope equipped with a light source and a video camera. Gas or fluid is used to inflate the uterus through the hysteroscope, and surgical instruments can be inserted as well.
A hysteroscopy aims to assess the uterine cavity, mucosa, and openings of the fallopian tubes. Thus, it is performed in case of abnormal bleeding from the uterus, infertility, repeated miscarriages, and abnormal findings of radiological examination. If needed, it can be performed for the assessment of endometrial hyperplasia and malignant lesions.
How Is the Surgery Performed?
Considering the goal of hysteroscopy, it can be either diagnostic or operative. In both cases, this procedure equals to surgery; therefore, it is performed under general or local anesthesia.
The hysteroscope is inserted into the uterus through the vagina and the dilated cervix. The uterus is expanded by using gas or fluid in order to assess its cavity or to perform surgical manipulations.
Time in hysteroscopy depends on the extent of the procedure, i.e., if only diagnostic hysteroscopy is performed or it is combined with operative procedure.
What Should Be Known After Surgery?
The patient should refrain from swimming, sexual intercourse, and using tampons for 3 weeks after this procedure.